The female reproductive cycle, along with sociocultural gender roles, can exert a major influence on the course, expression and treatment of psychiatric disorders. The aim of this PGY 4 specialization is to develop a cadre of experts in the psychiatric care of women, and in the assessment and treatment of psychiatric symptoms linked with female reproductive cycle transitions. Fellows acquire expertise in treating psychiatric disorders associated with the menstrual cycle, pregnancy, the postpartum period, and perimenopause. They come to understand the treatment implications of sex and gender differences in the expression of major psychiatric illnesses. They develop an in-depth appreciation of the influence of sociocultural gender roles on psychopathology.